Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/153787
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dc.titleUNDERSTANDING NURSES’ PERCEPTIONS TOWARDS ADVANCED CARE PLANNING: A DESCRIPTIVE QUALITATIVE STUDY
dc.contributor.authorNUR NADHIRAH BTE KHAIRUDDIN
dc.date.accessioned2019-05-07T05:29:51Z
dc.date.available2019-05-07T05:29:51Z
dc.date.issued2019-05-25
dc.identifier.citationNUR NADHIRAH BTE KHAIRUDDIN (2019-05-25). UNDERSTANDING NURSES’ PERCEPTIONS TOWARDS ADVANCED CARE PLANNING: A DESCRIPTIVE QUALITATIVE STUDY. ScholarBank@NUS Repository.
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/153787
dc.description.abstractBackground: As national efforts continues to expand initiatives towards advanced care planning (ACP) in Singapore, understanding nurses’ perception becomes significant in influencing ACP practice behaviour, since they are envisioned to play a key role in this process. However, there are limited studies investigating perceptions of ACP focusing solely on nurses. Aim: To examine perceptions of ACP among registered nurses. Methods: This qualitative study used a descriptive, qualitative approach to explore the perceptions of nurses towards ACP. A purposive sample of 16 nurses working in a local, tertiary hospital were selected and interviewed using semistructured, individual interviews guided by the Theory of planned behaviour. Interviews were transcribed verbatim and analysed using a thematic approach. Rigour was ensured throughout the study in four aspects – credibility, dependability, transferability and confirmability. Results: The analysis revealed 3 major themes (1) value of ACP: empowered decision-making, achieve goals of care and emotional comfort, (2) communicating ACP: pessimistic attitudes towards ACP, difficulty in bringing up ACP and perceived irrelevance as well as (3) barriers to advocating ACP: limited scope of practice, insufficient preparation and competing priorities. Implications: Although nurses expressed positive perceptions towards ACP, our study findings also revealed difficulties in communicating ACP, which necessitate efforts in raising public awareness towards ACP to foster greater cultural acceptance of ACP in the local society. Furthermore, development of educational training resources and revision of institutional policies may address the perceived barriers to advocating ACP. Conclusion: This study provided insights to the perceptions of nurses towards ACP. Future research may include various ethnic groups to illustrate the multicultural elements of Singapore, and other methodological approaches to enhance reliability of results. Perceptions of other healthcare personnel or patients could be explored for a holistic understanding of ACP.
dc.language.isoen
dc.subjectadvanced care plan
dc.subjectend-of-life care
dc.subjectdecision-making
dc.subjectperception
dc.subjectnurses
dc.subjectqualitative
dc.typeThesis
dc.contributor.departmentNURSING/ALICE LEE CTR FOR NURSING STUD
dc.contributor.supervisorLAU YING
dc.contributor.supervisorLAU SIEW TIANG (LYDIA)
dc.description.degreeBachelor's
dc.description.degreeconferredBachelor of Science (Nursing)(Honours)
Appears in Collections:Bachelor's Theses

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